GANESHAN RAVEENDRAN (NPI# 1265418420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265418420 |
| Entity Type | Individual |
| Full Name | GANESHAN RAVEENDRAN |
| Credential | MD |
| Practice Address |
909 Fulton St Se Minneapolis MN 55455-4800 |
| Mailing Address |
420 Delaware St Se Mmc- 508 Minneapolis MN 55455-0341 |
| Practice Telephone | 6126727422 |
| Mailing Telephone | (612) 626-4238 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2017-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
42353 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
909 FULTON ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365122 | Gary L Bryant | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2005-06-10 |
| 1437756848 | Kelsey Larsen | Pharmacist | 909 Fulton St Se, Attn: 1st Floor Pharmacy 1.273, Minneapolis, MN 55455-4800 | 2020-10-08 |
| 1518572254 | Rachel Elizabeth Kraemer | Audiologist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-09-10 |
| 1912527268 | Becca Marie Mahnesmith | Nurse Practitioner | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-04-16 |
| 1073142212 | Emily Kline | Health Educator | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-04-08 |
| 1689200024 | Zach Rivers | Pharmacist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-03-17 |
| 1518506138 | Carrie Leigh Kwiatkowski | Specialist/Technologist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-12-30 |
| 1801432414 | Abigail Denise Conrad | Physician Assistant | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-11-19 |
| 1700428497 | Ashley Herman | Dietitian, Registered | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-10-14 |
| 1104471275 | Holly Heewon Lee | Genetic Counselor, MS | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1578521555 | Michael Jon Manoles | Internal Medicine | 516 Delaware St Se, Pwb, Clinic 3b, Cardiovascular Center, Minneapolis, MN 55455-0356 | 2006-05-01 |
| 1023384211 | Brett Oestreich | Internal Medicine | 420 Delaware St Se, Mmc 508, Minneapolis, MN 55455-0341 | 2012-04-01 |
| 1528078458 | Anil K Poulose | Internal Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-08-09 |
| 1619931847 | Michael R Mooney | Internal Medicine | 800 E 28th St, Suite H2100, Minneapolis, MN 55407-3723 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710962188 | Mark W Erhard | Internal Medicine | 1560 Beam Ave, Suite B, Maplewood, MN 55109-1191 | 2005-12-08 |
| 1275081812 | Claire Erinee Raphael | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-09-12 |
| 1235578394 | Amit Sharma | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2013-06-21 |
| 1194014712 | Stephen Alexander George | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2011-04-05 |
| 1912223603 | Rory Farnan | Internal Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2010-04-20 |
| 1558599712 | Marat Yanavitski | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2009-06-26 |
| 1841436383 | Marit Elise Thorsgard | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2009-01-06 |
| 1265688089 | Mark W. Erhard, M.d., P.a. | Internal Medicine | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2008-08-12 |
| 1477715530 | Leif C Christianson | Internal Medicine | 1001 E Superior St, Ste. L201, Duluth, MN 55802-2207 | 2008-06-30 |
| 1760657589 | R Todd Drexel | Internal Medicine | 4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-4568 | 2008-04-23 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.